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1756 Continental St Redding CA 96001-1240 | |
| (530) 246-5710 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/Center |
| Location | 1756 Continental St, Redding, California |
| Authorized Official Name and Position | Jeffery Brandon Thornock (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5302465074 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 992790 Redding CA 96099-2790 Ph: (530) 246-5710 | 1756 Continental St Redding CA 96001-1240 Ph: (530) 246-5710 |
| NPI Number | 1114533171 |
|---|---|
| Provider Enumeration Date | 09/16/2020 |
| Last Update Date | 10/16/2024 |
| Medicare PECOS PAC ID | 3870579816 |
|---|---|
| Medicare Enrollment ID | O20040629000721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114533171 | NPI | - | NPPES |
| Provider Name | Ronald William Sand |
|---|---|
| Provider Type | Practitioner - Hospice/palliative Care |
| Provider Identifiers | NPI Number: 1841372802 PECOS PAC ID: 5991792244 Enrollment ID: I20040506000642 |
| Provider Name | Herbert J Monie |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1881679991 PECOS PAC ID: 5395792261 Enrollment ID: I20050401001001 |
| Provider Name | Robert Stanfield |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588683247 PECOS PAC ID: 6507813391 Enrollment ID: I20050404001001 |
| Provider Name | Jeffrey A Bosworth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1407840895 PECOS PAC ID: 1557318367 Enrollment ID: I20050404001145 |
| Provider Name | Joe Villalobos |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1770502445 PECOS PAC ID: 1355389172 Enrollment ID: I20050421001378 |
| Provider Name | Paul Camero Davainis |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1255340568 PECOS PAC ID: 7517996903 Enrollment ID: I20050805000522 |
| Provider Name | Kathlene Oppenheim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902817661 PECOS PAC ID: 5799885604 Enrollment ID: I20070706000382 |
| Provider Name | Douglas B Mcmullin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487681185 PECOS PAC ID: 0042214942 Enrollment ID: I20080724000700 |
| Provider Name | Jill Shaw |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790839355 PECOS PAC ID: 1355409087 Enrollment ID: I20081023000566 |
| Provider Name | Shana R Doolin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811138712 PECOS PAC ID: 8820142409 Enrollment ID: I20090817000258 |
| Provider Name | Wilfred Shiu |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1619039716 PECOS PAC ID: 1951457738 Enrollment ID: I20090921000014 |
| Provider Name | Debra Lupeika |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780697607 PECOS PAC ID: 9335285733 Enrollment ID: I20091014000668 |
| Provider Name | Barbara Mcglynn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811061385 PECOS PAC ID: 3678611928 Enrollment ID: I20091106000520 |
| Provider Name | Melissa D Tasista |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447273974 PECOS PAC ID: 4587788492 Enrollment ID: I20100830000664 |
| Provider Name | Julie A Schock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043332521 PECOS PAC ID: 9638293046 Enrollment ID: I20100907000700 |
| Provider Name | Collin Lynn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1083770754 PECOS PAC ID: 1254455660 Enrollment ID: I20100907000733 |
| Provider Name | Rhett D Grover |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811041445 PECOS PAC ID: 7618091034 Enrollment ID: I20100907000846 |
| Provider Name | Ernesto Cervantes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003836982 PECOS PAC ID: 5799800025 Enrollment ID: I20100910000061 |
| Provider Name | Sara Choudhry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023225521 PECOS PAC ID: 0345365961 Enrollment ID: I20100920000036 |
| Provider Name | Imram Aziz Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861514531 PECOS PAC ID: 1153446778 Enrollment ID: I20100920000050 |
| Provider Name | Deepika Saini |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1013032762 PECOS PAC ID: 1951585694 Enrollment ID: I20110405000342 |
| Provider Name | Laura Haagenson Dipaolo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326397936 PECOS PAC ID: 1254575640 Enrollment ID: I20140909002119 |
| Provider Name | Kathleen Timbers-coggin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407974827 PECOS PAC ID: 7618949595 Enrollment ID: I20150530000233 |
| Provider Name | Yen Trang Vo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1841515574 PECOS PAC ID: 8921329665 Enrollment ID: I20150605001191 |
| Provider Name | David Gunn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215163035 PECOS PAC ID: 1052546439 Enrollment ID: I20150707001724 |
| Provider Name | Rachael Spradley |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013357367 PECOS PAC ID: 7214249911 Enrollment ID: I20150709001202 |
| Provider Name | Mark Schneider |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376981845 PECOS PAC ID: 5991018178 Enrollment ID: I20150716002099 |
| Provider Name | Pamela Rose Knickerbocker |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1164561353 PECOS PAC ID: 0345313979 Enrollment ID: I20150819009313 |
| Provider Name | Amanda Mooneyham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962709568 PECOS PAC ID: 6103120506 Enrollment ID: I20160316002375 |
| Provider Name | Katelyn M Sharp |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205293370 PECOS PAC ID: 0446549844 Enrollment ID: I20161012000572 |
| Provider Name | Esperanza Eusebio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639543994 PECOS PAC ID: 1153619721 Enrollment ID: I20161013002479 |
| Provider Name | Nandhini Natarajan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730520610 PECOS PAC ID: 0042510935 Enrollment ID: I20161214001321 |
| Provider Name | Sean P Dugan |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1871721100 PECOS PAC ID: 0143486274 Enrollment ID: I20170201001001 |
| Provider Name | Saman Alexander Samadani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487095535 PECOS PAC ID: 1254632219 Enrollment ID: I20170607002610 |
| Provider Name | Helen Yongao Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740626472 PECOS PAC ID: 5294974325 Enrollment ID: I20180212002200 |
| Provider Name | Aaron Joseph Zaks |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1447600317 PECOS PAC ID: 8123361334 Enrollment ID: I20190509002173 |
| Provider Name | Kevin Wright Hopwood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073011409 PECOS PAC ID: 7719211200 Enrollment ID: I20190703001860 |
| Provider Name | Kathleen Margaret Knopp |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1386670040 PECOS PAC ID: 9830158393 Enrollment ID: I20191022003128 |
| Provider Name | Kyle Anthony Patton |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578959805 PECOS PAC ID: 1951733286 Enrollment ID: I20191107001097 |
| Provider Name | Christine Janelle Madrigal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215439294 PECOS PAC ID: 4183056633 Enrollment ID: I20191121001096 |
| Provider Name | Courtnie Michelle Arnell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427545482 PECOS PAC ID: 4587097332 Enrollment ID: I20191209001622 |
| Provider Name | Brandon Christopher Weinstock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396380705 PECOS PAC ID: 2466886205 Enrollment ID: I20200102001328 |
| Provider Name | Erin Baldwin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043716145 PECOS PAC ID: 8527493592 Enrollment ID: I20200121002609 |
| Provider Name | Joyce H. Ma |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1811302789 PECOS PAC ID: 1658706759 Enrollment ID: I20200220002637 |
| Provider Name | Taylor Nicole Dittman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316577893 PECOS PAC ID: 0042647406 Enrollment ID: I20200224002435 |
| Provider Name | Taylor Marie Cardoza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730711516 PECOS PAC ID: 3274961636 Enrollment ID: I20200317002614 |
| Provider Name | Shannon Jean Franck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407974066 PECOS PAC ID: 1254769490 Enrollment ID: I20200320002725 |
| Provider Name | Natalie Nelson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1275948317 PECOS PAC ID: 4082926035 Enrollment ID: I20200513002106 |
| Provider Name | Taman Hoang |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619403060 PECOS PAC ID: 7416370739 Enrollment ID: I20200706000899 |
| Provider Name | Breanna Marie Lazar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417569575 PECOS PAC ID: 8628488277 Enrollment ID: I20201110001536 |
| Provider Name | Emily Ann Bollin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548872591 PECOS PAC ID: 0042620577 Enrollment ID: I20201111002347 |
| Provider Name | Christa Camille Mckenzie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144847351 PECOS PAC ID: 1658788450 Enrollment ID: I20210323001107 |
| Provider Name | Jacob A Suazo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295398451 PECOS PAC ID: 3678972593 Enrollment ID: I20210526001786 |
| Provider Name | Tram Ly Hoff |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225599293 PECOS PAC ID: 0446659288 Enrollment ID: I20210526003107 |
| Provider Name | Landin Paul Hagge |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790312098 PECOS PAC ID: 1254731748 Enrollment ID: I20210621003280 |
| Provider Name | Muhammad Iftikhar |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1912536798 PECOS PAC ID: 1557757853 Enrollment ID: I20220414000968 |
| Provider Name | Calvin John Ruiz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1780188755 PECOS PAC ID: 7618365867 Enrollment ID: I20221110001592 |
| Provider Name | Kristan Jorde |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689301244 PECOS PAC ID: 1254709975 Enrollment ID: I20221130000169 |
| Provider Name | Aliceanne Thondu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063087047 PECOS PAC ID: 0547639114 Enrollment ID: I20221205001035 |
| Provider Name | Jamie Lynn Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376702282 PECOS PAC ID: 5890150239 Enrollment ID: I20230508001883 |
| Provider Name | Angela Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972230738 PECOS PAC ID: 3375902208 Enrollment ID: I20230710002287 |
| Provider Name | Bryan Wellington Messenger |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437774759 PECOS PAC ID: 2264855048 Enrollment ID: I20230830004150 |
| Provider Name | Mahrose Iftikhar |
|---|---|
| Provider Type | Practitioner - Osteopathic Manipulative Medicine |
| Provider Identifiers | NPI Number: 1801477062 PECOS PAC ID: 8921457011 Enrollment ID: I20231214002543 |
| Provider Name | Alexis Bartschi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1568111292 PECOS PAC ID: 9638529258 Enrollment ID: I20231222001220 |
| Provider Name | Luke Benedict Sears Roi |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437804424 PECOS PAC ID: 8123478773 Enrollment ID: I20231222002365 |
| Provider Name | Melissa Ann Gandy |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1861586570 PECOS PAC ID: 2365892775 Enrollment ID: I20231227003389 |
| Provider Name | Paul Doulas Kannard |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1053977587 PECOS PAC ID: 6406208586 Enrollment ID: I20240115001487 |
| Provider Name | Hannah Claire Purkey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730610858 PECOS PAC ID: 1456629112 Enrollment ID: I20240307003405 |
| Provider Name | Daniela Caltaru |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1346234762 PECOS PAC ID: 4789621442 Enrollment ID: I20240313001630 |
| Provider Name | Nicole Leanne Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164727210 PECOS PAC ID: 6002257334 Enrollment ID: I20240516003320 |
| Provider Name | Dawn Haskins |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1598867459 PECOS PAC ID: 5597107680 Enrollment ID: I20240521001706 |
| Provider Name | Elizabeth Breanna Evangelista |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255071882 PECOS PAC ID: 6608314695 Enrollment ID: I20240821004227 |
Andrew L Knapp Do Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Butte St, Redding, CA 96001 Phone: 530-243-0498 | |
Than T Aung Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2421 Old Eureka Way, Redding, CA 96001 Phone: 530-225-8775 Fax: 530-225-8778 | |
Shasta Community College - Student Health Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11555 Old Oregon Trl, Redding, CA 96003 Phone: 530-242-7580 Fax: 530-225-4968 | |
Excellence In Healthcare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2110 Railroad Ave., Redding, CA 96001 Phone: 530-243-1414 Fax: 530-243-0493 | |
Prestige Urgent Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 85 Hartnell Ave, Redding, CA 96002 Phone: 530-262-6001 | |